Provider Demographics
NPI:1972878882
Name:ARMSTRONG, MARIE FLORENCE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:FLORENCE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:FLORENCE
Other - Last Name:JEROME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17702 SW 84TH AVE
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6005
Mailing Address - Country:US
Mailing Address - Phone:305-772-2105
Mailing Address - Fax:305-971-7185
Practice Address - Street 1:17702 SW 84 AVE
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6005
Practice Address - Country:US
Practice Address - Phone:305-772-2105
Practice Address - Fax:305-971-7185
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT11823227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered